person
Mr. Derek J Wittman, LMHC(NY),LPC(PA)
Professional Counselor in Syracuse, New York
NPI 1952746141

Derek J Wittman is a Professional Counselor based in Syracuse, NY and is specialized in Professional. Derek J Wittman practices in Syracuse, NY and has the professional credentials of LMHC(NY),LPC(PA). The NPI Number for Derek J Wittman is 1952746141 and holds a License No. 008137 (New York).

The current practice location address for Derek J Wittman is 3300 James St Ste 101, Syracuse, NY and can be reached out via phone at 315-422-0300.

Location: 3300 James St Ste 101, Syracuse, NY, 13206-2392
person
Provider Profile Details
NPI Number
1952746141
Provider Name
Derek J Wittman
Credential
LMHC(NY),LPC(PA)
Provider Entity Type
Individual
Gender
Male
Address
3300 James St Ste 101, Syracuse, NY, 13206-2392
Phone Number
315-422-0300
Fax Number
Provider Enumeration Date
05/02/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
03008275 05 NY
institution
Provider Business Practice Location Address Details
Address
3300 James St Ste 101
City
State
Zip
13206-2392
Phone Number
315-422-0300
Fax Number
person
Provider Business Mailing Address Details
Address
3300 James St Ste 101
City
State
Zip
13206-2392
Phone Number
315-422-0300
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
PC013511 (Pennsylvania)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
008137 (New York)
Definition
Definition to come...
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